Risk factors of postoperative liver dysfunction in cirrhotics after splenorenal shunt and esophagogastric devascularization
10.3760/cma.j.issn.1007-631X.2017.09.015
- VernacularTitle:脾肾静脉分流联合贲门周围血管离断术后肝功能不全的危险因素分析
- Author:
Xiaobin WANG
1
;
Junhong XIE
;
Yueming LYU
Author Information
1. 张掖市甘州区人民医院普外科
- Keywords:
Liver cirrhosis;
Splenorenal shunt,surgical;
Esophagogastric devascularization
- From:
Chinese Journal of General Surgery
2017;32(9):770-773
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the risk factors of postoperative liver dysfunction in cirrhotic patients with Child-Pugh A liver function after splenorenal shunt and esophagogastric devascularization.Methods 128 Child-Pugh A cirrhotics undergoing splenorenal shunt and portal-azygous disconnection in our hospital from February,2014 to February,2016 were evaluated for risk factors of postoperative liver dysfunction.Results 22 cases (17.2％) developed postoperative liver dysfunction.By single factor analysis,age,history of upper gastrointestinal hemorrhage,ascites,serum prealbumin,serum albumin,mechanical ventilation time after surgery,postoperative serum albumin were associated with postoperative liver dysfunction.Non-conditional Logistic regression showed that age ＞ 60,serum prealbumin ＜ 170 g/L and serum albumin ＜ 30 g/L was independent risk factors for postoperative liver dysfunction.Conclusion Patients' age ＞ 60,serum prealbumin ＜ 170 g/L and serum albumin ＜ 30 g/L was independent risk factors for postoperative liver dysfunction after splenorenal shunt and portal-azygous disconnection.
